Attendance Form

This attendance form is to be submitted by the parent/legal guardian only.

Absence or Tardy

Absence

Tardy

Date of Absence/Tardy

Consecutive Day Absences?

Please check this box if you wish to report consecutive day absences.

Consecutive Absence Dates

Please list the specific consecutive dates of the absence.

Student's First Name

Student's Last Name

Grade

Teacher

Please select your child's teacher from the menu below.

Reason for Absence

If your student is ill and has seen a physician, please be specific about your student’s diagnosis, such as strep throat or pink eye. If your student is ill and has not seen a physician, please be specific about your student's symptoms: fever, vomiting, rash, digestive issues, sore throat, cough, etc.

Thank you!

Parent/Guardian Contact Information

Parent/Guardian First Name

Parent/Guardian Last Name

Phone Number

Alternative Phone Number

Parent/Guardian Email Address

By submitting this form, you are confirming that you are the parent or legal guardian of the student